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This minimally invasive approach to hysteropexy involves laparoscopic plication of the round ligaments to the rectus sheath. A case series by O'Brien and Ibrahim (1994) of nine postmenopausal women with "moderate or marked" uterovaginal prolapse who underwent laparoscopic ventrosuspension provide discouraging results with 89% of women experiencing complete recurrence within 3 months, all of whom required additional surgery. Other authors have reported success with this procedure (Lin et al., 2005), although most literature focuses on uterosacral ligament plication and sacrohysteropexy, which are thought to provide more durable and anatomic repairs.
